How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $36.31 | Facility | None | $33.88 | $33.88 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $33.88 Typical High $36.31 | Professional | None | $24.55 | $33.88 | $36.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $16.98 Typical High $18.20 | Professional | 52 · Reduced service | $12.88 | $16.98 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $34.67 Typical High $52.48 | Professional | None | $23.44 | $34.67 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | None | $31.62 | $31.62 | $41.69 |
Denver HMP Setting Facility Modifier None Typical Low $30.20 Median $33.88 Typical High $47.86 | Facility | None | $30.20 | $33.88 | $47.86 |
Denver HMP Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $61.66 | Professional | None | $26.92 | $38.90 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $25.12 Median $53.70 Typical High $74.13 | Facility | None | $25.12 | $53.70 | $74.13 |
Select Health Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $38.90 | Professional | None | $23.99 | $30.90 | $38.90 |
United Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $537.03 | Facility | None | $446.68 | $467.74 | $537.03 |
United Setting Professional Modifier None Typical Low $24.55 Median $32.36 Typical High $53.70 | Professional | None | $24.55 | $32.36 | $53.70 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $19.95 Median $26.30 Typical High $35.48 | Professional | HN · Bachelor's level | $19.95 | $26.30 | $35.48 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $19.95 Median $26.30 Typical High $35.48 | Professional | HO · Master's level | $19.95 | $26.30 | $35.48 |
Where Colorado sits
The same service costs 2.8 times more in North Dakota than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 11th of 51
$33.88
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.